Running head: ROLE DEVELOPMENT/CHANGE ANALYSIS 1
|
|
- Kristopher Malone
- 5 years ago
- Views:
Transcription
1 Running head: ROLE DEVELOPMENT/CHANGE ANALYSIS 1 Role Development/Change Analysis Gwendolyn Childress Auburn University/ Auburn Montgomery
2 ROLE DEVELOPMENT/CHANGE ANALYSIS 2 Role Change/ Development Analysis Introduction History of Advanced Practice Nurses Advanced Practice Nurses (APN), represents the healthcare future, but they have not always been viewed in this aspect. The battle for recognition and acceptance has been a long and tenacious. The first documentation of an advanced practice nurse occurred in the late 1800s during the American Civil War. Due to the lack of nursing personnel, Catholic sisters assisted surgeons with the administration of chloroform and treat wounded soldiers during the war (Hamric, Spross, and Hanson, 2009). This was the beginning of Nurse Anesthetists; deeming them, the first APN documented (Hudson, 2009). Since the establishment of the APN role in the 1800s, the profession has struggled to evolve and be accepted as a true profession. Over the past 200 years, the profession has expanded, branching out to form several nursing specialty areas such as nurse practitioner (NP), clinical nurse specialist (CNS), clinical nurse midwife (CNM), and of course, certified registered nurse anesthetist (CRNA). Certain specialty areas such as NP and CNS have their own sub-specialties or concentrations in a specific field. Each nurse specialty has had their own unique battles and scuffles with acceptance, certification/licensure, and progression in the medical society. Today each of these nurse specialties are acknowledge in the medical field, but full acceptance is still pending for some, but with current views and changes in healthcare the APN role is evolving greatly.
3 ROLE DEVELOPMENT/CHANGE ANALYSIS 3 Multi-faceted roles of the Advanced Practice Nurse The advanced practice nurse profession is a multi-layer profession, with patient care being the top layer. One must dissect each layer in order to gain full understanding of what an APN does. APNs wear several different hats in order to carry out their daily job description. Due to the changes in healthcare, their roles are rapidly evolving and multiplying. APNs practice in various healthcare setting such as primary care, acute care, adult- gerontology, pediatric, hospice, medical-surgical, gynecological and obstetric, etc. In these patient-care settings the APNs serves as patient care coordinator and advocate, educator, consultant, and researcher (Hamric, Spross, & Hanson, 2009). At times APNs may wear several hats at once. APNs serves as a patient care coordinator, consultant, and advocate no matter what specialty area they may work in. The APN ensures that the patient receives safe quality care by collecting comprehensive health histories and performs detailed physical examination in order to assess patients health status and develop patient diagnosis and treatment plans. Treatment plans are discussed with patient to ensure patient are part of their plan of care and are in agreement with the care. In addition, they order and interpret diagnostic test and refer patient to other disciplines to enhance quality care. APNs serve as educators in both patient care and educational settings. In the patient care setting, the APN serves as educator to patients and fellow associates. Education is the key component in nursing practice and patient care (Ward, 2008). APNs educate patients and families regarding health maintenance, disease process management, disease and disability prevention etc. Data has shown that patients, who have a better understanding regarding their disease process and treatment, have a better outcome (Ward, 2008). As mentioned, they also serve as staff educators. They educate staff on innovating research studies and findings to help
4 ROLE DEVELOPMENT/CHANGE ANALYSIS 4 improve patient care. In addition, they serve as mentor for new staff members, educating them on practice policy and procedures. APNs that specialize in education are Nurse Educators. Nurse educators have advance knowledge in education and clinical skills; therefore, they are able to work in education and clinical setting. Nurse educators are responsible for preparing future nurses and strengthening the nursing field (Nurse Educator, n.d.). Advanced practice nurses and research are crucial to each other. Healthcare questions and issues arise daily and answers are needed. Evidence-based research assists in improving quality and effectiveness in health care and closing the gaps in healthcare. APNs interventions are known for having a great impact on healthcare (O Grady, n.d.). APNs are expected to be able to perform extensive research in order to complete their roles successfully in today s society (Hanson, Spross, and Hanson, 2009). The American Association of Critical-Care Nurses -AACN (2012) expects nurses to conduct research projects and share knowledge gained with their organization to improve patient care. Advanced Practice Nurses Practice Settings Due to evolution of APN profession, APNs practice in various healthcare settings depending on their specialty. As mentioned, the major APN specialty areas are nurse practitioner, clinical nurse specialist, clinical nurse midwife, and certified registered nurse anesthetists. CNS and NP can devote their time to a specific area of practice. Therefore, APNs can practice in primary care, acute care, adult- gerontology, medicalsurgical, gynecological and obstetric setting. They also deliver care to those in under privilege area providing services that physician once provided. A systematic review completed by Newhouse, Stanik-Hutt, White, and Weiner (2011) proved that APNs care can improve patient outcome and assist in decreasing healthcare cost. Also, the review indicated that service rendered by an APN are some ways better than physicians.
5 ROLE DEVELOPMENT/CHANGE ANALYSIS 5 Scope of Practice and Regulation Scope of Practice and regulatory issues Since the APN profession roles were not clearly defined in the beginning, majority of the profession s battle entailed defining the profession scope of practice and regulations. Regulations and the scope of practice set guidelines for the nurse specialty areas, providing them with the knowledge of what is within and beyond their nursing practice (Hamric et al., 2009). The defining and scope of nursing practice began in the in the 1900s, with the Practice Act. From the 1970s to present date the regulation of advanced practice nurses has been evolving and the focus of APN nursing practice. Each state has there own defined scope of practice and regulations, therefore, no one APN role is the same. Different states regulation and scope of practice ranges from somewhat oppressive to modest. The Consensus Model for APRN established a regulatory model, which is designed around four essential elements known as LACE licensure accreditation certification education (Consensus Model for APRN Regulation:Licensure, Accreditation, Certification & Education, 2008) According to Hamric et al. (2009) regulatory process begins with the enrollment accredited APN program and continues through national certification by a specialty organization and then to second licensure and prescriptive authority.
6 ROLE DEVELOPMENT/CHANGE ANALYSIS 6 Although regulations and scope of practice provides guidelines to protect the APN and patients, they can also be a great hindrance to the APN s practice and patients health. The limitation place upon APNs prevents them from opening practices in areas that needs healthcare the most, therefore the limitation decrease the public access to health care providers. The major issues that APNs faces daily in their practice includes role definement, medication-prescribing limitations, autonomy, invisibility, physician supervision, reimbursement, etc.; with prescriptive authorization limitation, autonomy, and role definement being at the forefront of these major concern (Access to Care and Advanced Practice Nurses A Review of Southern U.S. Practice Laws, 2010;Crosadale, 2008; Ehrhardt 2008). Prescriptive restriction is one of the issues that is more prevalent in southern state such as Alabama, Florida, Tennessee, Mississippi, Georgia, Arkansas, Louisiana, Kentucky, etc.; with Alabama and Florida being two of the state which have the greatest limitation in their scope of practice (Access to Care and Advanced Practice Nurses A Review of Southern U.S. Practice Laws, 2010). In 2008, twenty-four states such as Missouri, Florida, Ohio, Pennsylvania, etc. presented their scope of practice concerns to the states legislators in hopes of changing prescription authorization regulations (Crosadale, 2008). Many states only allow APNs to prescribe medication per a formulary or an approved list of medication. This restriction of prescription authority extends to controlled substances. Forty-eight states in the U.S. allow APN to prescribe certain controlled substance, but they must register with the Drug Enforcement Administration (DEA) to obtain their own DEA number and follow the state prescriptive laws (Access to
7 ROLE DEVELOPMENT/CHANGE ANALYSIS 7 Care and Advanced Practice Nurses A Review of Southern U.S. Practice Laws, 2010). The DEA number must be renewed every three years (Hamric et al., 2009). Alabama and Florida NPs cannot prescribe any type of controlled substance and in Alabama CNS cannot prescribe any type medications further decreasing patients access to comprehensive healthcare. Ehrhardt (2008), allowed NP in Alabama to express their frustrations about Alabama s scope of practice. NPs in Alabama stated that the restrictive scope of practice seem to be driving Alabama's advanced practitioners out of the state (Ehrhardt, 2008). The next issues in which concerns APN is not being able to practice as an independent agent. Medical News Today (2008) defined autonomy as an individual that is reasonable and self-governed in making practice decisions. APNs are required to graduate from a master s or doctoral prepared program and obtain certification signifying that they can practice and make reasonable decisions in diagnosing and treating patients. Therefore, what are the issues with APNs being an independent sector? Especially since APNs are expected to fill the gap in primary care, and by APN having autonomy they will be able to open practices in healthcare deprived areas (Crowley, 2011). In 2011, New York sent forth the nurse practitioners modernization act to legislators which would allow NPs to practice without the collaboration of a physician (Crowley, 2011). In Ehrhardt (2008) article, NPs explained that they did not mind collaborating with physician, but would like more autonomy in their practice. The article points out that APN s in Utah {since 1993} and Mississippi {since 2008} have been practicing and prescribing class II-IV drugs independently for a combine nineteen years successfully.
8 ROLE DEVELOPMENT/CHANGE ANALYSIS 8 Evidence-based research has established that APNs have been providing comprehensive quality care for over forty years. In addition, evidence has proven that patients receive the same quality of care from an APN, as they would have from a physician (Access to Care and Advanced Practice Nurses A Review of Southern U.S. Practice Laws, 2010). Physicians have ambiguous emotions toward APNs such as NPs having their own practice. Research has found that if physicians are exposed early in their practice to NPs they are more accepting of NP role (Street and Crossman, 2010). The finial issue in which APNs face is role definement especially with the developing changes within the profession and its various specialty areas. Hamric, et al. (2009) quoted that O Malley and colleagues (1996) wrote in most settings, the role of APNs has not been fully understood APNs are still not identified by the public as primary care providers, partially due to misunderstanding of their roles. Since 1996, a great deal has changed within the APN role, but the APN role continues to need revamping. APRN Consensus Work Group and National Council of State Boards of Nursing (NCSBN) APRN Advisory Committee along with key APNs within the community developed the Consensus Model for APRN to help define the new emerging roles of advance practice nurse and the population in which practitioners will be serving. The model also assists in shaping the APNs scope of practice. Prior to Consensus Model for APRN there was not a uniform model for APNs (Consensus Model for APRN Regulation:Licensure, Accreditation, Certification & Education, 2008) only stateto-state scope of practices. In addition, model provides a guide to assist states in overhauling their current APN s practice act, assisting them moving their APNs roles into the twentieth first century (O'Grady, 2009).
9 ROLE DEVELOPMENT/CHANGE ANALYSIS 9 Regulatory/Scope of Practice Issues Impact on Evolution Scope of practice evolution is unavoidable in all professions (Scope of Practice and the Nurse Practitioner: Regulation, Competency, Expansion, and Evolution, 2007). The role of the APN has evolved within the last decade, but the profession continues to face challenges due to revolving scope of practice and regulation issues. Due to these issues, the profession is evolving at a slower pace than other professions, even though studies have proven that advance practice nurses provide safe and quality care (Scope of Practice and the Nurse Practitioner: Regulation, Competency, Expansion, and Evolution, 2007). Organization such as National Council of State Boards of Nursing (NCSBN), American Nursing Association (ANA) and AACN act as advocates for APNs, ensuring that scope of practice and regulation issue are brought to congress and legislators attention. Conclusion Even though the APN profession has been noted for providing quality costeffective care the battle for autonomy continues. During this crucial time of healthcare growth, it is imperative that APNs increase their visibility and be heard to overcome scope of practice and regulation issues. The profession has conquered a great deal, but there is still many issues that need reforming in order for the profession be deemed completely independent. APN advocate continue to work daily to make the concerns of the profession known to congress and state legislators in hopes of professional autonomy. The struggle for the APN has been long and hard, but worth all the hard work and tears.
10 ROLE DEVELOPMENT/CHANGE ANALYSIS 10 Reference Access to care and advanced practice nurses a review of southern U.S. practice laws, (2010). Retrieved from Consensus Model for APRN Regulation:Licensure, Accreditation, Certification & Education, (2008). Retrieved from Croasdale, M. (2008). American Medical News. Advance-practice nurses seek wider scope in 24 states. Retrieved from Crowley, C. (2011). Practitioners seeking autonomy. Retrieved from php Ehrhardt, J. (2008). Nursing's advanced practitioners frustrated with Alabama's regulations. Retrieved from Hamric, A. S. (2009). Advance practice nursing:an intergrative approach. St Louis: Saunders. Hudson, K. (2009). The history and evolution of the APN role: The impact on healthcare. Dynamic Nursing Education. Retrieved from
11 ROLE DEVELOPMENT/CHANGE ANALYSIS 11 O'Grady, E. (2009). The 5 NP political issues and the one solution. Nurse Practitioner World News. Retrieved from np-political-issues-and-the-one-solution/ O Grady, E. (n.d.). Advanced practice registered nurses: The impact on patient safety and quality. Nurse Practitioner World News. Retrieved from O Malley, J., Cummings, S and King, C.S. (1996). The politics of advanced practice. Nursing Administration Quarterly 20, Newhouse, R., Stanik-Hutt, J., White,K. and Weiner, J. (2011). Advanced practice nurse outcomes : A systematic review. Nursing Economic 29 (5). Retrieved from Nurse Educators (n.d.). Retrieved from Scope of practice and the nurse practitioner: regulation, competency, expansion, and evolution, (2007). Retrieved from Street, D. and Crossman, J.S. (2010). Does familiarity breed respect? Physician attitudes toward nurse practitioners in a medically underserved state. Journal of the American Academy of Nurse Practitioners, 22(8):431. Retrieved from Ward, J. (2008). Patient teaching in nursing. Retrieved from Nursing.aspx
Role Change Analysis. Roles and Issues of the Primary Care Nurse Practitioner. Jason Martin. Auburn University/Auburn Montgomery
Role Change Analysis 1 Role Change Analysis Roles and Issues of the Primary Care Nurse Practitioner Jason Martin Auburn University/Auburn Montgomery Role Change Analysis 2 Abstract The advance practice
More informationINCREASE ACCESS TO PRIMARY CARE SERVICES BY ALLOWING ADVANCED PRACTICE REGISTERED NURSES TO PRESCRIBE
INCREASE ACCESS TO PRIMARY CARE SERVICES BY ALLOWING ADVANCED PRACTICE REGISTERED NURSES TO PRESCRIBE Both nationally and in Texas, advanced practice registered nurses have helped mitigate the effects
More informationPerspectives on Nurse Practitioner/Advanced Practice Nursing in the USA-2012 Update
Perspectives on Nurse Practitioner/Advanced Practice Nursing in the USA-2012 Update In the United States (U.S.), advanced practice registered nurses (APRNs) represent a growing segment of health care professionals
More informationChristopher W. Blackwell, Ph.D., ARNP, ANP-BC, AGACNP-BC, CNE, FAANP Associate Professor & Coordinator
Certification and Education as Determinants of Nurse Practitioner Scope of Practice: An Investigation of the Rules and Regulations Defining NP Scope of Practice in the United States Christopher W. Blackwell,
More informationClinical Nurse Specialist (CNS)
Clinical Nurse Specialist (CNS) Paula Halcomb, MSN, DNP, APRN, ACNS-BC paula.halcomb@uky.edu Jill Dobias, MSN, APRN, ACCNS-AG, OCN, AOCNS jill.dobias@uky.edu Dee Sawyer, MS, APRN, MLDE, AGCNS-BC, BC-ADM,
More informationThe Consensus Model of APRN Regulation, LACE how we got here where we are going. Maureen Cahill
The Consensus Model of APRN Regulation, LACE how we got here where we are going Maureen Cahill Collaborative practice to advanced practice, an evolution Evolved in separate silos Lack of common definitions
More informationConsensus Model for APRN Regulation Frequently Asked Questions
1. Why was the Consensus Model for APRN Regulation developed? The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (APRN Consensus Model) is a uniform model of regulation
More informationAPRNs - Who are they? KAREN FOREN LAKE, PHD, RNC, APRN (CNP) MICHIGAN NURSES ASSOCIATION
NP CRNA CNS CNM APRNs - Who are they? KAREN FOREN LAKE, PHD, RNC, APRN (CNP) MICHIGAN NURSES ASSOCIATION Conflict of Interest and Accreditation Successful Completion of this Continuing Nursing Education
More informationADVANCED EDUCATION REQUIREMENTS
EDUCATION REQUIREMENTS STATE Alabama Yes The applicant for approval to practice as a certified registered nurse anesthetist shall have... [e]arned at least a master's degree, or post-master's certificate
More informationConsensus Model for APRN Regulation: Licensure, Accreditation, Certification, Education
Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, Education Victoria A. Weill Future of Nursing Report (IOM, 2010) Recommendations 1) the health care system needs to tap the
More informationSTATUTORY/REGULATORY NURSE ANESTHETIST RECOGNITION
Alabama NPA and SBON R&R CRNAs are a type of advanced practice nurse. Advanced practice nurses are "certified by the Board of Nursing to engage in the practice of advanced practice nursing." [Alabama Nurse
More informationWHAT IS THE APRN CONSENSUS MODEL AND HOW DOES IT EFFECT ADVANCED PRACTICE NURSES?
WHAT IS THE APRN CONSENSUS MODEL AND HOW DOES IT EFFECT ADVANCED PRACTICE NURSES? Sonoita, AZ June 26, 2015 Paula Christianson-Silva DNP, RN, FNP-BC, ANP-BC Objectives 1. Review the history and development
More informationAPRN Working Groups. Recent meetings. Reasons for a Future APRN Model
Reasons for a Future APRN Model Lack of common definitions related to APRN roles Lack of standardization in programs leading to APRN preparation Proliferation of specialties and subspecialties Lack of
More informationAdvanced Practice Nursing. Shawn Wells September 30, 2016
Advanced Practice Nursing Shawn Wells September 30, 2016 Definition: Advanced Practice Nursing Registered Nurse Graduated from accredited NP program Passed National Certification Obtained License to Practice
More informationFoundations for the Future: The Leadership of the American Association of Nurse Practitioners Over the Decades
Foundations for the Future: The Leadership of the American Association of Nurse Practitioners Over the Decades KATHY WHEELER, PHD, RN, APRN, NP-C, FNAP, FAANP ASSISTANT PROFESSOR, UNIVERSITY OF KENTUCKY
More informationAdvanced Practice Registered Nurse: Role, Preparation, and Scope of Practice
Advanced Practice Registered Nurse: Role, Preparation, and Scope of Practice Position Statement #3059 NANNP Council December 2013 NANN Board of Directors January 2014 In recent years, the National Association
More informationTrends In APRN Practice Authority
Trends In APRN Practice Authority SUSANNE J. PHILLIPS, MSN, FNP- BC CONSULTING EDITOR, THE NURSE PRACTITIONER CLINICAL PROFESSOR, UC IRVINE 2015 Annual Educational Conference Newport Beach, California
More informationOklahoma Nurses Association 2016 House of Delegates Resolution
SUBJECT: INTRODUCED BY: Oklahoma Nurses Association 2016 House of Delegates Resolution Full Practice Authority for Advanced Practice Registered Nurse (APRN) ONA Board of Directors and the Committee on
More informationObjectives. Getting and Staying Certified: Issues for the New and Practicing NP. Upon completion of the program, the participant will be able to:
Objectives Getting and Staying Certified: Issues for the New and Practicing NP Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC President Fitzgerald Health Education Associates, Inc. Family
More informationWho delivers health care? Non-physician Workforce Considerations : The Role of the Advanced Practice Nurse and the Physician Assistant.
Who delivers health care? Non-physician Workforce Considerations : The Role of the Advanced Practice Nurse and the Physician Assistant Meredith Davison, PhD, MPH University of Oklahoma School of Community
More information2011 Legislative Session: An Update on APRN Bills. Stephanie D. Fullmer, JD Legislative Affairs Associate NCSBN
2011 Legislative Session: An Update on APRN Bills Stephanie D. Fullmer, JD Legislative Affairs Associate NCSBN Legislative background State priorities: Budgets Economy Health reform ACA is expected to
More informationLicensure, Accreditation, Certification, Education in Nursing: Aligning the Pieces to Improve Outcomes
Licensure, Accreditation, Certification, Education in Nursing: Aligning the Pieces to Improve Outcomes June 12, 2013 Institute of Medicine Standing Committee on Credentialing Research in Nursing Washington,
More informationInterstate Compacts for Nurses Nicole Livanos, JD MPP Associate State Advocacy & Legislative Affairs NCSBN
Interstate Compacts for Nurses Nicole Livanos, JD MPP Associate State Advocacy & Legislative Affairs NCSBN What is an interstate compact? A statutory agreement between two or more states established for
More informationMISSISSIPPI LEGISLATURE REGULAR SESSION 2017
MISSISSIPPI LEGISLATURE REGULAR SESSION 2017 By: Representative Dortch To: Public Health and Human Services HOUSE BILL NO. 86 1 AN ACT TO AMEND SECTIONS 73-15-5 AND 73-15-20, MISSISSIPPI 2 CODE OF 1972,
More informationTrends In APRN Practice Authority
Trends In APRN Practice Authority SUSANNE J. PHILLIPS, DNP, APRN, FNP -BC C L I N I C A L P R O F E S S O R, U C I R V I N E C O N S U L T I N G E D I T O R, T H E N U R S E P R A C T I T I O N E R 2016
More informationREALITIES OF INTEGRATED COLLABORATIVE CARE OF CHILDREN AND ADOLESCENTS
REALITIES OF INTEGRATED COLLABORATIVE CARE OF CHILDREN AND ADOLESCENTS Geraldine S. Pearson, PHD, PMH CNS, FAAN University of CT School of Medicine APNA June 23, 2013 DISCLOSURES This speaker has no conflicts
More informationInternational Council of Nurses
International Council of Nurses The Role of the Advanced Practice Nurse/Nurse Practitioner The International Perspective November, 2015 Jean Barry, ICN Consultant Nursing and Health Policy Outline of presentation
More informationRunning head: CLINICAL/PRACTICUM LEARNING ANALYSIS PAPER
Clinical/Practicum Learning Analysis 1 Running head: CLINICAL/PRACTICUM LEARNING ANALYSIS PAPER Clinical/Practicum Learning Analysis Paper Carol A. Lamoureux-Lewallen Briar Cliff University Clinical/Practicum
More informationDeclining Membership in Professional Nursing Organizations. Lori Williams. Carson-Newman University
Running head: DECLINING MEMBERSHIP IN PROFESSIONAL ORGANIZATIONS 1 Declining Membership in Professional Nursing Organizations Lori Williams Carson-Newman University DECLINING MEMBERSHIP IN PROFESSIONAL
More informationRole Development Analysis Paper. Alfreda Lewis, RN. Auburn University/Auburn Montgomery
Role Development Analysis Paper 1 Role Development Analysis Paper Alfreda Lewis, RN Auburn University/Auburn Montgomery Role Development Analysis Paper 2 Introduction Change is one of the most frightening
More informationRULE THE PHYSICIAN S ROLE IN PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSES
DEPARTMENT OF REGULATORY AGENCIES Colorado Medical Board RULE 950 - THE PHYSICIAN S ROLE IN PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSES 3 CCR 713-37 [Editor s Notes follow the text of the rules
More informationNATIONWIDE CHILDREN S HOSPITAL / COLUMBUS, OHIO ADVANCED PRACTICE REGISTERED NURSE STANDARD CARE ARRANGEMENT (SCA)
NATIONWIDE CHILDREN S HOSPITAL / COLUMBUS, OHIO ADVANCED PRACTICE REGISTERED NURSE STANDARD CARE ARRANGEMENT (SCA) I. STATEMENT OF PURPOSE A. Advanced Practice Registered Nurses (APRNs) at Nationwide Children
More informationImplementation of the APRN Consensus Model: National Update
Implementation of the APRN Consensus Model: National Update NCSBN APRN Summit January 12, 2011 Joan Stanley, PhD, CRNP, FAAN Senior Director of Education Policy American Association of Colleges of Nursing
More informationStatement of the American Academy of Physician Assistants. for the Hearing Record of the Senate Finance Committee
Statement of the American Academy of Physician Assistants for the Hearing Record of the Senate Finance Committee on Chronic Illness: Addressing Patients Unmet Needs July 15, 2014 On behalf of the more
More informationEnhancing effective implementation of new advanced practice nursing roles. Krista Jokiniemi RN, PhD, Post Doctoral researcher
Enhancing effective implementation of new advanced practice nursing roles Krista Jokiniemi RN, PhD, Post Doctoral researcher In this presentation advanced practice nursing = APN Esityksen nimi / Tekijä
More informationNEW GRADUATE PROVISIONS
Alabama Yes A nurse anesthetist "may request Provisional Approval for practice as a graduate nurse anesthetist by submitting: (a) Official evidence of authorization to test from the Council on Certification
More informationACHI is a nonpartisan, independent, health policy center that serves as a catalyst to improve the health of Arkansans.
ISSUE BRIEF ACHI is a nonpartisan, independent, health policy center that serves as a catalyst to improve the health of Arkansans. Physician Extender Roles in a Patient-Centered Future May 2013 Does Arkansas
More informationTHE ADVANCING ROLE OF ADVANCED PRACTICE CLINICIANS: COMPENSATION, DEVELOPMENT, & LEADERSHIP TRENDS
THE ADVANCING ROLE OF ADVANCED PRACTICE CLINICIANS: COMPENSATION, DEVELOPMENT, & LEADERSHIP TRENDS INTRODUCTION The demand for Advanced Practice Clinicians (APCs) or Advanced Practice Providers (APPs)
More informationADVANCED PRACTICE PROVIDERS: IDENTIFYING TRENDS AND RISKS WITH ADVANCED PRACTITIONERS. Aileen Brooks, RN, CPHRM, JD Malecki & Brooks Law Group
ADVANCED PRACTICE PROVIDERS: IDENTIFYING TRENDS AND RISKS WITH ADVANCED PRACTITIONERS Aileen Brooks, RN, CPHRM, JD Malecki & Brooks Law Group ORGANIZATION OF PRESENTATION 1. Advanced Practice Providers
More informationYOUR FUTURE IN NURSING HEATHER CURTIS, RN, BSN
YOUR FUTURE IN NURSING HEATHER CURTIS, RN, BSN OBJECTIVES Review BSN outcomes Review MSN outcomes Review Doctoral outcomes Why should I pursue higher education What jobs can I get with a MSN Which program
More informationArkansas Center for Nursing Arkansas Nurse Practitioner Association Arkansas Nurses Association Arkansas Pediatric Nurse Practitioners
Remove the Mandatory Collaborative Practice Agreement on APRN prescribing HB 1181 Rep. Dan Sullivan HB 1186 Rep. Karilyn Brown Advanced Practice Registered Nurses (APRNs) are nurses with advanced education
More informationThe Unmet Demand for Primary Care in Tennessee: The Benefits of Fully Utilizing Nurse Practitioners
The Unmet Demand for Primary Care in Tennessee: The Benefits of Fully Utilizing Nurse Practitioners Major Points and Executive Summary by Cyril F. Chang, PhD, Lin Zhan, PhD, RN, FAAN, David M. Mirvis,
More informationThe Misaligned APRN: Grandfathered or Something Else?
The Misaligned APRN: Grandfathered or Something Else? Carolyn Buppert, JD, MSN Attorney, Law Office of Carolyn Buppert, P.C. www.buppert.com buppertcarolyn@gmail.com 410-570-0058 851 7th St., Boulder,
More informationState of the State: Rules & Regulations for the APRN
State of the State: Rules & Regulations for the APRN November 4 th, 2014 Meredith Lahl, MSN, PCNS-BC, PNP-BC, CPON Senior Director Advanced Practice Nursing Nursing Institute Topics Cleveland Clinic
More informationACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S
ACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S Margaret Head, Chief Operating Officer/Chief Nursing Officer Susan Moseley Gent, Administrative Director Vanderbilt Medical Group March 10, 2012 With
More informationConflict of Interest. Objectives. What is an Advance Practice Nurse
Conflict of Interest Grow the Bones of An Education Plan: Professional Development for New and Seasoned Nurses Jennifer Drake DNP MSN RN ONC Clinical Educator Onboarding/Special Projects I hereby certify
More informationAdvanced Practice Nurses Authority to Diagnose and Prescribe. Excellence Through Coordinated Patient Care. Copyright protected. information.
Excellence Through Coordinated Patient Care Copyright protected information. Provided courtesy of the Illinois State Medical Society Advanced Practice Nurses Authority to Diagnose and Prescribe 12-1655-S
More informationI Have my BSN-Now What?
I Have my BSN-Now What? JULIE MILLER, PHD, APRN, CPNP-AC,PPCNP- BC, FNP-C JULIE.MIL L E R 1 @ C C H M C. O RG Learning Objectives Discuss graduate education degree opportunities for nurses. State the purpose
More informationConsensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education. July 7, 2008
Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education July 7, 2008 Completed through the work of the APRN Consensus Work Group & the National Council of State Boards
More informationComparison of Prescribing Statutes 1 : Illinois, New Mexico, and Louisiana
Comparison of Prescribing Statutes 1 : Illinois, New Mexico, and Louisiana Title Clinical Psychologist Licensing Act (225 I.L.C.S. 15) Illinois New Mexico Louisiana Professional Psychologist Act (N.M.S.A.
More informationA Bill Regular Session, 2017 HOUSE BILL 1254
Stricken language would be deleted from and underlined language would be added to present law. 0 State of Arkansas st General Assembly A Bill Regular Session, HOUSE BILL By: Representative Magie For An
More informationAdvanced Practice Registered Nursing Workgroup. Regarding the Frontlines to Lifelines Act, S 297
Written Statement for the Record by: Advanced Practice Registered Nursing Workgroup American Association of Colleges of Nursing, AACN American Association of Nurse Anesthetists, AANA American Association
More informationI MINA TRENTAI KUÅTTRO NA LIHESLATURAN GUÅHAN 2017 (FIRST) Regular Session
I MINA TRENTAI KUÅTTRO NA LIHESLATURAN GUÅHAN 01 (FIRST) Regular Session Bill No. 01- (LS) * Introduced by: Mary Camacho Torres Dennis G. Rodriguez, Jr. AN ACT TO REPEAL AND REENACT OF ARTICLE, CHAPTER
More informationCOLORADO COMMUNITY HEALTH NETWORK SCOPE OF PRACTICE MATRIX FIELD OF PRACTICE: NURSING (BOARD OF NURSING)
COLORADO COMMUNITY HEALTH NETWORK MATRIX FIELD OF : NURSING (BOARD OF NURSING) ADVANCED NURSES: NURSE PRACTITIONER (NP) According to the Colorado Nurse Practice Act: 12-38-111.5. Requirements for advanced
More informationCERTIFICATION REQUIREMENTS
Alabama Yes The Council on Certification of Nurse Anesthetists. [Alabama Board of Nursing Admin. Code, 610-X-9-.01(1)(d)] Alaska Yes Current national certification or recertification. [Professional Regulations,
More informationAdvanced Practice Nurse Authority to Diagnose and Prescribe
Advanced Practice Nurse Authority to Diagnose and Prescribe Copyright protected information. Provided courtesy of the Illinois State Medical Society ADVANCED PRACTICE NURSES AUTHORITY TO DIAGNOSE AND PRESCRIBE
More informationRULES OF THE TENNESSEE BOARD OF NURSING CHAPTER ADVANCED PRACTICE NURSES & CERTIFICATES OF FITNESS TO PRESCRIBE TABLE OF CONTENTS
RULES OF THE TENNESSEE BOARD OF NURSING CHAPTER 1000-04 ADVANCED PRACTICE NURSES & CERTIFICATES TABLE OF CONTENTS 1000-04-.01 Purpose and Scope 1000-04-.07 Processing of Applications 1000-04-.02 Definitions
More informationScope of Practice and Standards
ICN International Nurse Practitioner/Advanced Practice Nursing Network Scope of Practice and Standards Scope of Practice, Standards and Competencies of the Advanced Practice Nurse Final Revision January
More informationYour gateway to 300+ associations in the National Healthcare Career Network
Your gateway to 300+ associations in the National Healthcare Career Network ACADEMIA & RESEARCH AdvaMed American Association for the Study of Liver Diseases American Association of Colleges of Osteopathic
More information244 CMR: BOARD OF REGISTRATION IN NURSING
244 CMR 4.00: THE PRACTICE OF NURSING IN THE EXPANDED ROLE Section 4.01: Authority 4.02: Purpose 4.03: Citation 4.04: Scope 4.05: Definitions 4.06: Gender of Pronouns 4.07: Number (4.08 through 4.10: Reserved)
More informationRECERTIFICATION REQUIREMENTS
Alabama Yes The Council on Recertification of Nurse Anesthetists. [Alabama Board of Nursing Admin. Code, sec. 610-X-9-.01(1)(d)] Alaska Yes Current national certification. [Professional Regulations, Board
More informationThe Evolving Practice of Nursing Pamela S. Dickerson, PhD, RN-BC. PRN Continuing Education January-March, 2011
The Evolving Practice of Nursing Pamela S. Dickerson, PhD, RN-BC PRN Continuing Education January-March, 2011 Disclaimer/Disclosures Purpose: The purpose of this session is to enable the nurse to be proactive
More informationInterprofessional Education Seminar Series: A Certificate Program for Health Care Providers. Basic Education of Selected Healthcare Professionals
Interprofessional Education Seminar Series: A Certificate Program for Health Care Providers Basic Education of Selected Healthcare Professionals Audiology Dentist Dietician Evaluate and treat hearing and
More informationLicensure Challenges in Preventive Medicine A Public Policy Issue
Licensure Challenges in Preventive Medicine A Public Policy Issue Sharon K. Hull, MD, MPH, Neal D. Kohatsu, MD, MPH, Clyde B. Schechter, MD, Hugh H. Tilson, MD, DrPH Introduction Preventive medicine is
More informationBe it enacted by the General Assembly of the Commonwealth of Kentucky: Section 1. KRS is amended to read as follows:
AN ACT relating to the prescriptive authority of advanced practice registered nurses. Be it enacted by the General Assembly of the Commonwealth of Kentucky: Section. KRS.0 is amended to read as follows:
More informationAdvanced Practice Registered Nurses (APRNs)
- 4 - Advanced Practice Registered Nurses (APRNs) - 5 - Advanced Practice Registered Nurses (APRNs) APRNs are registered nurses who have at a minimum completed graduate coursework (masters degree), passed
More informationDecember 22, Submitted via
December 22, 2011 Submitted via www.regulations.gov Marilyn Tavenner Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-3244-P P.O. Box 8010
More informationProfessional Roles for the Advanced Practice nurse
PA RT 1 Professional Roles for the Advanced Practice nurse The chapters in Part 1 of this book consider the role of the advanced practice nurse from historical, present-day, and future perspectives. This
More informationMEMORANDUM. Ohio Board of Nursing ( BON ) and the Ohio APRN Advisory Committee ( Advisory Committee )
MEMORANDUM To: FROM: Ohio Board of Nursing ( BON ) and the Ohio APRN Advisory Committee ( Advisory Committee ) Ohio Association of Advanced Practice Nurses ( OAAPN ) DATE May 13, 2018 Subject: Position
More informationALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-8 ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE TABLE OF CONTENTS
Medical Examiners Chapter 540-X-8 ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-8 ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE TABLE OF CONTENTS 540-X-8-.01 540-X-8-.02 540-X-8-.03
More informationNurse Practitioner Student Learning Outcomes
ADULT-GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER Nurse Practitioner Student Learning Outcomes Students in the Nurse Practitioner Program at Wilkes University will: 1. Synthesize theoretical, scientific,
More informationALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-5 ADVANCED PRACTICE NURSING COLLABORATIVE PRACTICE TABLE OF CONTENTS
Nursing Chapter 610-X-5 ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-5 ADVANCED PRACTICE NURSING COLLABORATIVE PRACTICE TABLE OF CONTENTS 610-X-5-.01 610-X-5-.02 610-X-5-.03 610-X-5-.04 610-X-5-.05
More informationPhysician-led health care teams. AMA Advocacy Resource Center. Resource materials to support state legislative and regulatory campaigns
ama-assn.org/go/physicianledteams AMA Advocacy Resource Center Physician-led health care teams Resource materials to support state legislative and regulatory campaigns Page 2 AMA Advocacy Resource Center
More information2011 Nurse Licensee Volume and NCLEX Examination Statistics
NCSBN RESEARCH BRIEF Volume 57 March 2013 2011 Nurse Licensee Volume and NCLEX Examination Statistics 2011 Nurse Licensee Volume and NCLEX Examination Statistics National Council of State Boards of Nursing,
More informationALABAMA~STATUTE. Code of Alabama et seq. DATE Enacted Alabama Board of Medical Examiners
ALABAMA~STATUTE STATUTE Code of Alabama 34-24-290 et seq DATE Enacted 1971 REGULATORY BODY PA DEFINED SCOPE OF PRACTICE PRESCRIBING/DISPENSING SUPERVISION DEFINED PAs PER PHYSICIAN APPLICATION QUALIFICATIONS
More informationCampaign for Action Primary Care Needs Advanced Roles for Nurses
EXPANDING MEDICAID Campaign for Action Primary Care Needs Advanced Roles for Nurses By ANDREA BRASSARD, RN, D.Nsc., M.P.H., F.N.P. The Affordable Care Act (ACA) is expected to provide health insurance
More informationAugust 31, Missouri State Board of Registration for the Healing Arts PO Box 4 Jefferson City, MO RE: Proposed Assistant Physician Rules
August 31, 2016 Missouri State Board of Registration for the Healing Arts PO Box 4 Jefferson City, MO 65102 RE: Proposed Assistant Physician Rules Dear Missouri State Board of Registration for the Healing
More informationALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE
Medical Examiners Chapter 540-X-18 ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-18 QUALIFIED ALABAMA CONTROLLED SUBSTANCES REGISTRATION CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED
More informationMay Non-Physician Practitioner (NPP) Nurse Practitioners and Physician Assistants. Collaborating Together as a Team
May 2015 Non-Physician Practitioner (NPP) Nurse Practitioners and Physician Assistants Collaborating Together as a Team What is a Non-Physician Practitioner (NPP) or Physician Extender } Physician Assistant
More information3/3/2014. Advance Practice Nursing-a Varied and Unique Role in a Comprehensive Breast Program. Lecture/Session. Health Care Reform
Advance Practice Nursing-a Varied and Unique Role in a Comprehensive Breast Program Colleen Johnson, R.N.N.P., CBPN IC Carondelet Health System Lecture/Session RT s #43 No Disclosures Health Care Reform
More informationNational Council of State Boards of Nursing February Requirements for Accrediting Agencies. and. Criteria for APRN Certification Programs
National Council of State Boards of Nursing February 2012 Requirements for Accrediting Agencies and Criteria for APRN Certification Programs Preface Purpose. The purpose of the Requirements for Accrediting
More informationAligning Advanced Practice Clinicians with New Care Models
MGMA 2017 ANNUAL CONFERENCE OCT. 8-11 ANAHEIM, CA Aligning Advanced Practice Clinicians with New Care Models Trish Anen, RN, MBA, NEA-BC Debra Slater Principal, Sullivan, Cotter and Associates Principal,
More informationCOMAR Title 10 MARYLAND DEPARTMENT OF HEALTH
Board of Nursing proposed regulatory changes, Published November 13, 2017, in MD Register. Comment period ends December 14, 2017. COMAR Title 10 MARYLAND DEPARTMENT OF HEALTH 10.27.01 Examination and Licensure
More informationSouth Dakota APRN Coalition s Proposed Legislation FAQs
South Dakota APRN Coalition s Proposed Legislation FAQs 1. What is a collaborative agreement? A: In South Dakota law, SDCL 36-9A, a nurse practitioner or a nurse midwife is not allowed to practice without
More informationMEDICARE COVERAGE SUMMARY: OUTPATIENT PSYCHIATRIC AND PSYCHOLOGICAL SERVICES
OPTUM MEDICARE COVERAGE SUMMARY: OUTPATIENT PSYCHIATRIC AND PSYCHOLOGICAL SERVICES MEDICARE COVERAGE SUMMARY: OUTPATIENT PSYCHIATRIC AND PSYCHOLOGICAL SERVICES Guideline Number: Effective Date: April,
More informationND BOARD OF NURSING: SCOPE OF PRACTICE & DELEGATION. Dr. Stacey Pfenning APRN FNP ND Board of Nursing Executive Director
ND BOARD OF NURSING: SCOPE OF PRACTICE & DELEGATION Dr. Stacey Pfenning APRN FNP ND Board of Nursing Executive Director North Dakota Board of Nursing Overview Mission, Nurse Practices Act & ND Administrative
More informationNursing. Programs. Workforce Development _AACN_TitleVIII_Brochure.indd 1
Nursing Workforce Development Programs T I T L E 147596_AACN_TitleVIII_Brochure.indd 1 V I I I O F T H E P U B L I C H E A LT H S E R V I C E A C T 2/18/15 4:48 PM How Nurses Contribute to the Healthcare
More informationAlert. Recognition of Advance Practice Registered Nurses by Michigan Statute. msms.org. April 2017
Alert April 2017 Recognition of Advance Practice Registered Nurses by Michigan Statute By Patrick J. Haddad, JD, Kerr, Russell and Weber, PLC, MSMS Legal Counsel Public Act 499 of 2016, effective April
More informationUNMH Nurse Practitioner (CNP) Clinical Privileges
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees effective: 09/25/2015 INSTRUCTIONS Applicant: Check off the "Requested" box for each privilege requested.
More informationSeptember 11, Submitted via Dear Ms. Verma:
September 11, 2017 Submitted via www.regulations.gov Seema Verma Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-1676-P P.O. Box 8016 7500 Security
More informationThe Roles of the APRN An Education for Credentialing Staff
The Roles of the APRN An Education for Credentialing Staff Jennifer L. Burns, MJ, MSN, RN BC, NE BC, PHNA BC Practice & Education Consultant of the Wyoming State Board of Nursing Objectives Powers of WSBN
More informationNURSING (MN) Nursing (MN) 1
Nursing (MN) 1 NURSING (MN) MN501: Advanced Nursing Roles This course explores skills and strategies essential to successful advanced nursing role implementation. Analysis of existing and emerging roles
More informationScope of Practice for Advanced Practice Providers
Scope of Practice for Advanced Practice Providers Navigating Complex and Changing Boundaries Laura M. Cascella, MA Healthcare is changing rapidly, and the interplay of numerous factors has resulted in
More informationSouth Carolina Board of Nursing October 2009 Insert into the SC Nurse Newsletter
South Carolina Board of Nursing October 2009 Insert into the SC Nurse Newsletter MISSION OF THE BOARD OF NURSING The mission of the State Board of Nursing for South Carolina is the protection of public
More informationPUBLIC POLICY AGENDA 2011 EDITION
PUBLIC POLICY AGENDA 2011 EDITION WHAT POLICYMAKERS AND THE PUBLIC NEED TO KNOW ABOUT NCSBN The National Council of State Boards of Nursing (NCSBN ) is a not-for-profit organization whose membership comprises
More informationKechi Iheduru-Anderson DNP-c, MSN, RN, CWCN. December 2013
Kechi Iheduru-Anderson DNP-c, MSN, RN, CWCN. December 2013 As a nurse in the united states you will encounter a variety of different types of caregivers. You may work with unlicensed assistive personnel
More informationA New Scope of Practice for PAs and APRNs in Michigan
A New Scope of Practice for PAs and APRNs in Michigan State Bar of Michigan Health Care Law Section Annual Meeting, September 12, 2017 Kathleen A. Reed California Illinois Michigan Minnesota Texas Washington,
More informationSUBCHAPTER 32M - APPROVAL OF NURSE PRACTITIONERS
SUBCHAPTER 32M - APPROVAL OF NURSE PRACTITIONERS 21 NCAC 32M.0101 DEFINITIONS The following definitions apply to this Subchapter: (1) "Approval to Practice" means authorization by the Medical Board and
More informationADVANCED PRACTICE LITERATURE REVIEW CARRIED OUT BY Prof Carney on behalf of NMBI LITERATURE REVIEW
LITERATURE REVIEW International perspectives on Advanced Nurse and Midwife Practice, regarding advanced practice, criteria for posts and persons and requirements for regulation of Advanced Nurse /Midwife
More informationTranslating advanced practice nursing competence into clinical practice
Translating advanced practice nursing competence into clinical practice Frances Kam Yuet WONG RN PhD School of Nursing The Hong Kong Polytechnic University Hong Kong Society for Nursing Education 25 th
More information